Surgery Nurses' Awareness on SBAR Communication Model and SBAR Training

Objective: The study has been carried out to analyze surgery nurses’ awareness on SBAR communication model and to measure the effectiveness of SBAR training on it. SBAR communication model, which abbreviates “situation, background, assessment and recommendation”, undertakes a significant role to provide patient safety. Methods: It was undertaken between 1 March 2019 – 30 April 2019 with a sample consisting of 138 nurses serving in surgical units of the hospital involved in the study. A session of 45-minute training, which has been delivered to surgery nurses, consisted of example scenarios and practices based on SBAR communication model as well as the user guide and some video shots related to communication settings in compliance with SBAR Model. The data were collected during pre-training, immediately after post-training and one-month after the posttraining sessions via face-to face interviews conducted with surgery nurses. Results: Mean values of nurses’ SBAR communication model awareness have been calculated for all 18 questions in the form. Those mean values have been displayed as 62.76±28.52 during pre-training, 95.05±7.56 during immediate post-training and 90.90±13.89 during a-monthlater session of post-training. Comparisons of pre-training and post-training scores have displayed a statistically significant increase in mean values, both after the training and one month later (p<0.05). Conclusion: The findings observed in the study show that trainings have a positive effect on raising awareness with respect to SBAR communication model to measure the effectiveness of SBAR training on it

Evaluation of SBAR Communication Model Awareness Before and After Training in Surgical Nurses

Araştırma Tekirdağ Namık Kemal Üniversitesi Sağlık Uygulama ve Araştırma Merkezinde çalışan cerrahi hemşirelerinde eğitim öncesi ve sonrası, Durum (Situation), Özgeçmiş (Background), Değerlendirme (Assessment), Öneri (Recommendation)’den oluşan SBAR iletişim modeli farkındalığını değerlendirmek amacıyla gerçekleştirildi. Araştırmanın evrenini Sağlık Uygulama ve Araştırma Merkezinde çalışan 220 cerrahi hemşiresi, örneklemi ise basit rastgele örnekleme yöntemi ile seçilen 138 cerrahi hemşiresi oluşturdu. Veriler 1 Mart-30 Nisan 2019 tarihleri arasında literatür doğrultusunda araştırmacı tarafından hazırlanan “Kişisel Bilgi Formu” ve ‘‘SBAR İletişim Modeli Değerlendirme Formu” aracılığı ile yüz yüze görüşme yöntemi ile elde edildi. Verilerin değerlendirilmesinde nicel verilerin normal dağılıma uygunlukları Shapiro-Wilk test ve grafiksel incelemeler ile sınandı. Normal dağılım göstermeyen nicel değişkenlerin iki grup arası karşılaştırmalarında Mann- Whitney U test kullanıldı. Normal dağılım göstermeyen üç ve üzeri grupların karşılaştırmalarında ise Kruskal Wallis test ve ikili karşılaştırmaların değerlendirilmesinde Bonferroni-Dunn test kullanıldı. İstatistiksel anlamlılık p<0.05 düzeyinde değerlendirildi. Hemşirelerin toplam 18 soru üzerinden hesaplanan SBAR iletişim modeli farkındalık puan ortalamaları, eğitim öncesi 62.76±28.52, eğitimden hemen sonra 95,05±7,56 ve eğitimden 1 ay sonra 90.90±13.89 olarak saptandı. Eğitim öncesine göre; eğitimden hemen sonra ve eğitimden 1 ay sonra görülen puan ortalamalarındaki artış istatistiksel olarak anlamlı bulundu (p<0.05). Çalışılan birimler değerlendirildiğinde “ameliyathane hemşirelerinin” eğitim öncesi bilgi puan ortalamaları “yoğun bakım ve cerrahi servislerde” çalışan hemşirelere göre daha düşük bulunurken (54.17±36.82), eğitimden hemen sonra “ameliyathane hemşirelerinin” puan ortalamaları “yoğun bakım ve cerrahi servislerde” çalışan hemşirelere göre en yüksek (99.31±2.78), eğitimden 1 ay sonra ise 93.75±6.69 puan ortalaması ile yüksek bulundu. Araştırma bulguları hemşirelerin SBAR farkındalığının eğitim öncesine göre eğitimden hemen sonra ve eğitimden1 ay sonra arttığını gösterdi. Sağlık hizmetlerinde oluşan iletişim kaynaklı hataları önlemede SBAR’ın etkili olduğu, SBAR ile ilgili eğitimlere düzenli ve sürekli olarak hizmet içi eğitimlerde yer verilmesinin önemli olduğu düşünülmekte ve SBAR iletişim modelininin uygulamada kullanılması önerilmektedir.The research was carried out in order to evaluate the awareness of SBAR communication model consisting of Situation, Background, Assessment, Recommendation before and after the training in the nurses working in Tekirdag Namik Kemal University Health Application and Research Center. The population of the study consisted of 220 surgical nurses working in the Health Application and Research Center and a sample of 138 surgical nurses selected by simple random sampling method. The data were obtained from face-to-face interviews with the Mod Personal Information Form u and u SBAR Communication Model Evaluation Form di prepared by the researcher between 1 March and 30 April 2019. In the evaluation of the data, the conformity of the quantitative data to the normal distribution was tested by Shapiro-Wilk test and graphical studies. The Mann-Whitney U test was used to compare the non-normal distribution of quantitative variables. Kruskal Wallis test and double comparisons were used in the comparison of three and more groups with no normal distribution. Bonferroni-Dunn test was used. Statistical significance was evaluated as p <0.05. The mean score of the SBAR communication model was 18.76 ± 28.52, 95.05 ± 7.56, and 90.90 ± 13.89, 1 month after the training. According to pre-education; The increase in the mean score after 1 month of training and 1 month after the training was statistically significant (p <0.05). When the units studied were lower than the nurses working in “intensive care and surgical services al, the average score of pre-training information of servis operating room nurses 7 was found to be lower (54.17 ± 36.82). the highest (99.31 ± 2.78), one month after the training was higher with a mean of 93.75 ± 6.69 points. Research findings revealed that the awareness of nurses' SBAR awareness increased immediately after the training and 1 month after the training. It is considered that the SBAR is effective in preventing communication-related errors in health services, and it is considered important to include regular and continuous in-service trainings on SBAR-related trainings and it is recommended to use SBAR communication model in practice

Relationship between SYNTAX score and Trans-Atlantic Inter-Society Consensus II classification in patients undergoing diagnostic angiography

Conclusions: Higher Trans-Atlantic Inter-Society Consensus II classification is associated with higher SYNTAX score in patients who underwent coronary and peripheral diagnostic angiography. It may suggest that arterial atherosclerotic disease complexity is a systemic panvascular phenomenon

Relation between carotid intima-media thickness and aortic knob width in patients with essential hypertension

Conclusion Observation of aortic knob on chest radiograph in hypertensive patients may provide important predictive information of subclinical atherosclerosis. Blood Press Monit 16: 282-284 (C) 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Blood Pressure Monitoring 2011, 16: 282-28

Coronary artery calcification score is increased in patients with isolated coronary artery ectasia

Conclusion: Patients with isolated CAE had higher CAC than control subjects, suggesting that atherosclerosis may be involved in the pathogenesis of isolated CAE. Patients with isolated CAE may have increased cardiovascular risk and should receive appropriate risk stratification and relevant medical treatment

Coronary artery calcification score is increased in patients with isolated coronary artery ectasia

Purpose: Coronary artery calcification (CAC) is an indicator of coronary atherosclerosis and is associated with future adverse cardiac events. Isolated coronary artery ectasia (CAE) is defined as localized or diffuse dilation of the coronary arteries without coronary stenosis. The aim of this study was to assess the relationship between CAC and isolated CAE. Methods: Thirty-four patients with isolated CAE and 50 controls subjects, with normal coronary arteries, were enrolled in the study. Baseline demographic features and atherosclerosis risk factors were similar in both groups. Results: Patients with CAE had higher total CAC than control subjects (84±111 vs. 33.5 ± 103.5; p < 0.001). There was also a significant correlation between per-segment CAC and ectatic segment length (r=0.32; p=0.01) but no correlation with diameter (r=0.09; p=0.5). Conclusion: Patients with isolated CAE had higher CAC than control subjects, suggesting that atherosclerosis may be involved in the pathogenesis of isolated CAE. Patients with isolated CAE may have increased cardiovascular risk and should receive appropriate risk stratification and relevant medical treatment